Individual
JACOB ALBERT LINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
1550 IRVING ST SW STE 301, TUMWATER, WA 98512-6362
(509) 232-5766
(509) 242-1867
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
(509) 321-5472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO60818831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
12/28/2018
Last updated
07/30/2019
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